Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.26 / $3,213.00 / $10,836.00	Facility		$867.26	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.99 / $1,007.13 / $1,460.38	Professional		$866.99	$1,007.13	$1,460.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.55 / $3,151.68 / $6,324.43	Facility		$1,771.55	$3,151.68	$6,324.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.45 / $1,081.53 / $1,506.81	Professional		$854.45	$1,081.53	$1,506.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $833.61 / $833.61 / $833.61	Facility		$833.61	$833.61	$833.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.25 / $1,270.19 / $1,961.09	Professional		$963.25	$1,270.19	$1,961.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,252.00 / $8,252.00 / $8,252.00	Professional		$8,252.00	$8,252.00	$8,252.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.72 / $1,245.34 / $2,089.62	Facility		$922.72	$1,245.34	$2,089.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.19 / $1,399.58 / $1,646.57	Professional		$1,189.19	$1,399.58	$1,646.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.70 / $1,421.70 / $1,421.70	Professional		$1,421.70	$1,421.70	$1,421.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.72 / $1,246.16 / $2,382.09	Facility		$922.72	$1,246.16	$2,382.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $963.25 / $1,294.21 / $2,130.79	Professional		$963.25	$1,294.21	$2,130.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.33 / $1,076.06 / $1,718.34	Professional		$787.33	$1,076.06	$1,718.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.72 / $893.99 / $1,234.84	Professional		$780.72	$893.99	$1,234.84